Multi-agency Service Planning: IIIP

1. Multi-agency Service Planning: IIIP April 9, 2005 Joyce Strand, Ph.D University of Minnesota Duluth Trudie Hughes, Ph.D. University of Minnesota Duluth Marva Gellhaus, Ph.D. South Dakota School for the Blind and Visually Impaired.

2. Minnesota System of Interagency Coordination (MnSIC) • The Interagency Services For Children with Disabilities Act (M.S.125A.023) was passed in 1998. • Purpose: to develop and implement a coordinated, multidisciplinary service system for children ages 3-21 with disabilities (subd. 2) • Phased in over a 4 year process (subd.3) by age groups.

3. Barriers that preceded MnSIC • Paperwork • Multiple applications • Multiple case managers • Communication • Service limits • Turf • Lack of understanding between providers • Blame • No coordination of services • NOT family centered

4. Maternal & Children Health Program Individuals with Disabilities Act Medical Assistance Developmental Disabilities Assistance and Bill of Rights Head Start Act Rehabilitation Services Juvenile Court Act Children’s Mental Health Collaborative Family Service Collaborative Family Community Support Plan Minnesota Care Program Community Health Service Grants Community Social Service Act Community Interagency Transition Committees Services provided under a health plan in conformity with an IIIP Minnesota Statute 125A Coordination of 14 Services and Agencies

5. System Components • Multi-agency/disciplinary screening, assessment and evaluation. • Service coordination • Single Plan Development • Information, Resources & Technical Assistance • Service access, identification of available resources and plans to address gaps • Dispute resolution processes • Provision and payment of services • System assurances and accountability

6. Single Plan Development • Assure development and review of single plan • Writing the plan • Facilitation the coming together of team members • Coordinate the identification and provision of service and funding • Monitor progress and facilitate follow up and reviews

7. Individual Interagency Intervention Plan (IIIP) • Purpose • Coordination of existing services and supports in school, home, and community • Document and process • Contains the mandated plan requirements of many programs and services • Product of interaction, collaboration and partnerships between the child, family, the community, and every agency involved in providing services to a child and family • Standardized state web based form • Eligibility

8. Strength based Only needed components are completed Confidential Well coordinated with interagency agreements Wrap around Person & family centered process – family takes the lead Written in family friendly language Family choice So what is the IIIP?(Individual Interagency Intervention Plan)

9. IIIP contains statutory documentation for…. • CADI – Community Alternatives for Disabled Individuals • CAC – Community Alternative Care • TBI – Traumatic Brain Injury • IFSP – Individual Family Service Plan • ISP – Individual Service Plan • IEP – Individual Education Plan • IFCSP – Individual Family Community Support Plan • ICSP – Individual Community Support Plan • Multi-agency Plan of Care (Children’s Mental Health Collaboratives)

10. includes the following provider plans • IHP – Individual Habilitation Plan • ITP – Individual Treatment Plan • Out of Home Placement Plan – non-child protection • Nursing Care plans • Home Care plans • IPE – Individual Plan for Employment • Corrections • Other provider plans or program specific plans

11. IIIP Planning Process : Transition Planning • Family member, student, &/or other team member requests IIIP • Eligible (rec. service from 2 or more agencies) • Lead agency is determined (may be education but not always) • Determination of all service agencies (referral) • Service coordinator • Strengths and needs assessments • Facilitate team planning process • Manage implementation of support plan • Development of an individualized plan that is family centered and team based • Implementation by participating IIIP members • Team review

12. Form MnSIC IIIP Guidebook – http://www.mnsic.org/products/iiip/iiip21.pdf IIIP forms – http://www.mnsic.org/products/iiip/iiipforms21.pdf

13. Core Elements of IIIP • Demographic information • Family/student considerations • Description of child/student • Shared outcomes- • Goals/outcomes • Objectives/indicators • Services

14. Common elements • Demographic information • Family/student considerations • Description of child/student

15. Shared Goals • John • Shared outcome: increase John’s self regulation of anger behavior in home, school and community.

16. School Goal #1: John will increase his use of appropriate manner of disagreeing from verbal and physical aggression to disagreeing in a calm and concise manner. Objective 1a– When asked, John will verbally identify the steps to disagreeing appropriately 9 of 10 times. Objective 1b – In a role play, John will make eye contact, use a pleasant voice, say “I understand how you feel,” say “I feel differently because…” and listen to the other person 8 of 10 times. School Service – Social Skills building/group Minutes/session – 20 minutes Service location – Langer Elementary School Frequency – 2 x per week Agency – District 709 Start date – 9/1/05 Duration – 05/06 school year Service Provider –Langer Elementary School Name – Jackie Jewel Telephone – 555-xxxx Address – Payment Source – District 709 Authorized signature Shared outcome

17. Mental Health or Corrections Goal 2 - Increase appropriate behavior at home and in the community. Objective 2 – will assist family in developing and implementing a home behavior management plan. Mental Health or Corrections Service – In-Home family therapy Minutes/session – 60 minutes Service location – John’s home Frequency – 1X Agency – Social Services Start date – 9/1/05 Duration – 6 months Service Provider –Social Services Name – Jeremy Pi Telephone – 555-xxxx Address – Payment Source – Social Services Authorized signature Shared outcome

18. Public Health Goal 3 – increase appropriate behavior at home and in the community. Objective 3a – will evaluate home for safety issues Objective 3b – provide support to family in implementing behavior plan Objective 3c – assist family in locating physician for medication management Objective 3d – Monitor medication, including side effects. Public health Service – Home visiting Minutes/session – 60 minutes Service location – John’s home Frequency – 1X Agency – Public Health Nurse Start date – 9/1/05 Duration – 6 months Service Provider – County Public Health Agency Name – Ginny Lou Telephone – 555-xxxx Address – Payment Source – County Public Health Agency Authorized signature Shared outcome

19. Individual Transition Elements (Mn) • Individual Education Plan has to address the following elements for transition aged students. • Employment/Careers • Post Secondary Education • Home Living • Recreation and Leisure • Community Participation

20. South Dakota Program Planning • Course of Study Planning Form • Accommodations checklist

21. Case Study “Jake” • Read case study • Using the sample forms in the handout – which services do you think Jake will need? • Develop a sample outcome that includes objectives from at least three agencies/services.

22. Interagency Coordination Results Summary (Northern Lights Special Education Coop, 2004) • Awareness • Benefits • Offering • Involvement • Concerns • Needs based format • Agency • Mandated agencies • Information source • Improvement recommendations • Summary

23. Specific Issues - • Training • School work day hours • Limited understanding • Technology issues • Meetings too large and involved • Takes too much time • Lack of administrative support • Case management • Priorities of difference participants/agencies

24. Specific Issues + • Fewer meetings to attend • Plans are better when information is shared • Paperwork reduced • Student services are improved • Helpful to families to only have one plan